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California updates restrictions involving conversion therapy

SB 934 updates California's prohibition on sexual-orientation or gender-identity change efforts with patients under 18. The September 26 law focuses on directing patients toward predetermined outcomes, preserves specified nondirective and supportive care, and treats prohibited efforts as unprofessional conduct subject to licensing discipline.

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What happened

California chaptered SB 934 on September 26 as Chapter 469. The amended definition addresses practices during mental-health services that seek to direct a patient toward a predetermined sexual orientation or gender identity outcome, regardless of the intended direction of change. It includes efforts to increase or reduce attractions toward a particular sex and efforts to suppress or constrain gender identity or expression. Sections 865.1 and 865.2 prohibit the defined efforts with patients under 18 and make attempted covered efforts unprofessional conduct subject to the relevant licensing entity's discipline.

The definition expressly excludes nondirective psychotherapy supporting coping, identity exploration, and self-understanding without a predetermined orientation or identity outcome. It also excludes age-appropriate responses to unlawful conduct or unsafe practices when they do not direct the patient toward a particular orientation or identity, and supportive care consistent with applicable standards that respects the patient's experienced and defined gender identity. The statutory mental-health-provider definition lists the identified licensed professions as well as specified associates, interns, trainees, and other California-designated professionals. The law therefore requires attention to the service, intended outcome, patient age, and practitioner category, rather than treating all identity-related counseling as prohibited.

Scope and timing

Authority status
Final
Applicability
Directly applicable
Audience
Health systems, Provider networks
Jurisdiction
California
Recorded date
2027-01-01
Date type
effective

Why it matters

Behavioral-health providers and contracted networks need to confirm that clinical policies, training, referral practices, and oversight reflect the enacted rule.

Sources

Complete edition and supplemental material

This finding in the complete approved report →

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